Ace,Incontinence Supply & Pers
Organization Active NPI Durable Medical Equipment & Medical Supplies · Mullins, SC
NPI 1801033709 · NPPES record last updated Jan 26, 2010
Key facts
- NPI
- 1801033709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ACE,INCONTINENCE SUPPLY & PERS
- Practice address
- 4504 E Highway 76
Mullins, SC 29574-7261 - Phone
- (843) 464-4307
- Fax
- (866) 375-0088
- NPI assigned
- Jan 14, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY LIFE-LINK,LLC
Authorized official
- Name
- Mr. Bernard Gerald
- Title
- Ceo
- Phone
- (843) 464-4307
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Community Life-Linkllc
- Part of
- Community Life-Linkllc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
4504 E Highway 76
Mullins, SC 29574-7261
Mailing address
4504 E Highway 76
Mullins, SC 29574-7261
Phone (843) 464-4307
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3184 | Medicaid | SC | |
| EN2031 | Medicaid | SC | |
| DE1248 | Medicaid | SC |
Other providers in Mullins, SC
- Alina Abraham
- Adult & Pediatric Urology Center of the Carolinas PA
- Bertha Alford
- Janet Ammons
- Inyene Sunday Amos
- Anni B'S in-Home Care, LLC
All providers in Mullins, SC · Durable Medical Equipment & Medical Supplies in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.